Automated detection of atrial fibrillation using RR intervals and multivariate-based classification

Automated detection of AF from the electrocardiogram (ECG) still remains a challenge. In this study, we investigated two multivariate-based classification techniques, Random Forests (RF) and k-nearest neighbor (k-nn), for improved automated detection of AF from the ECG. We have compiled a new database from ECG data taken from existing sources. R-R intervals were then analyzed using four previously described R-R irregularity measurements: (1) the coefficient of sample entropy (CoSEn), (2) the coefficient of variance (CV), (3) root mean square of the successive differences (RMSSD), and (4) median absolute deviation (MAD). Using outputs from all four R-R irregularity measurements, RF and k-nn models were trained. RF classification improved AF detection over CoSEn with overall specificity of 80.1% vs. 98.3% and positive predictive value of 51.8% vs. 92.1% with a reduction in sensitivity, 97.6% vs. 92.8%. k-nn also improved specificity and PPV over CoSEn; however, the sensitivity of this approach was considerably reduced (68.0%)

An Error-Based Approximation Sensing Circuit for Event-Triggered, Low Power Wearable Sensors

Event-based sensors have the potential to optimize energy consumption at every stage in the signal processing pipeline, including data acquisition, transmission, processing and storage. However, almost all state-of-the-art systems are still built upon the classical Nyquist-based periodic signal acquisition. In this work, we design and validate the Polygonal Approximation Sampler (PAS), a novel circuit to implement a general-purpose event-based sampler using a polygonal approximation algorithm as the underlying sampling trigger. The circuit can be dynamically reconfigured to produce a coarse or a detailed reconstruction of the analog input, by adjusting the error threshold of the approximation. The proposed circuit is designed at the Register Transfer Level and processes each input sample received from the ADC in a single clock cycle. The PAS has been tested with three different types of archetypal signals captured by wearable devices (electrocardiogram, accelerometer and respiration data) and compared with a standard periodic ADC. These tests show that single-channel signals, with slow variations and constant segments (like the used single-lead ECG and the respiration signals) take great advantage from the used sampling technique, reducing the amount of data used up to 99% without significant performance degradation. At the same time, multi-channel signals (like the six-dimensional accelerometer signal) can still benefit from the designed circuit, achieving a reduction factor up to 80% with minor performance degradation. These results open the door to new types of wearable sensors with reduced size and higher battery lifetime

PhysioZoo: A Novel Open Access Platform for Heart Rate Variability Analysis of Mammalian Electrocardiographic Data

Background: The time variation between consecutive heartbeats is commonly referred to as heart rate variability (HRV). Loss of complexity in HRV has been documented in several cardiovascular diseases and has been associated with an increase in morbidity and mortality. However, the mechanisms that control HRV are not well understood. Animal experiments are the key to investigating this question. However, to date, there are no standard open source tools for HRV analysis of mammalian electrocardiogram (ECG) data and no centralized public databases for researchers to access.Methods: We created an open source software solution specifically designed for HRV analysis from ECG data of multiple mammals, including humans. We also created a set of public databases of mammalian ECG signals (dog, rabbit and mouse) with manually corrected R-peaks (>170,000 annotations) and signal quality annotations. The platform (software and databases) is called PhysioZoo.Results: PhysioZoo makes it possible to load ECG data and perform very accurate R-peak detection (F1 > 98%). It also allows the user to manually correct the R-peak locations and annotate low signal quality of the underlying ECG. PhysioZoo implements state of the art HRV measures adapted for different mammals (dogs, rabbits, and mice) and allows easy export of all computed measures together with standard data representation figures. PhysioZoo provides databases and standard ranges for all HRV measures computed on healthy, conscious humans, dogs, rabbits, and mice at rest. Study of these measures across different mammals can provide new insights into the complexity of heart rate dynamics across species.Conclusion: PhysioZoo enables the standardization and reproducibility of HRV analysis in mammalian models through its open source code, freely available software, and open access databases. PhysioZoo will support and enable new investigations in mammalian HRV research. The source code and software are available on www.physiozoo.com